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HEALTH ADVISORY: PEDIATRIC MULTI-SYSTEM INFLAMMATORY SYNDROME POTENTIALLY ASSOCIATED WITH CORONAVIRUS DISEASE (COVID-19)
Recently, the Novel Coronavirus (COVID-19) has been reported as possibly linked with a pediatric multi-system inflammatory syndrome disease – “Pediatric Multi-System Inflammatory Syndrome Potentially Associated with COVID-19.”
As of May 5, 2020, sixty-four (64) suspected pediatric clinical cases compatible with multi-system inflammatory syndrome associated with COVID-19 have been reported in children in New York State hospitals, including New York City.
Hospitals must immediately report cases of pediatric multi-system inflammatory syndrome potentially associated with COVID-19 in patients who are under 21 years of age to NYS DOH through the Health Emergency Response Data System (HERDS) application on the health commerce system (HCS) and perform a diagnostic and serological test to detect the presence of SARS-COV-2, the virus that causes COVID-19, or corresponding antibodies in the patient.
The purpose of this health advisory is to (1) ensure providers are aware of the pediatric multi- system inflammatory syndrome potentially associated with COVID-19 and (2) provide guidance on reporting of cases to NYS DOH and testing of patients who present with this disease.
Please note that while older adults are at risk for severe COVID-19 illness, children can still get sick with COVID-19, most often presenting with mild symptoms, but rarely becoming severely ill.
PEDIATRIC MULTI-SYSTEM INFLAMMATORY SYNDROME POTENTIALLY ASSOCIATED WITH COVID-19
In the United Kingdom and Europe, a possible link has been reported between COVID-19 and a serious inflammatory disease recently termed “Pediatric Multi-System Inflammatory Syndrome Temporally Associated with COVID-19.”
As of May 5, 2020, sixty-four (64) suspected pediatric clinical cases compatible with multisystem inflammatory syndrome have been reported in children in New York State hospitals, including New York City.
This syndrome has features which overlap with Kawasaki Disease and Toxic Shock Syndrome. Inflammatory markers may be elevated, and fever and abdominal symptoms may be prominent. Rash also may be present. Myocarditis and other cardiovascular changes may be seen.
Additionally, some patients have developed cardiogenic or vasogenic shock and required intensive care. This inflammatory syndrome may occur days to weeks after acute COVID-19 illness.
The syndrome may include:
Achildpresentingwithpersistentfever,inflammation(e.g.neutrophilia,elevatedC-reactive protein and lymphopenia) and evidence of single or multi-organ dysfunction (shock, cardiac, respiratory, renal, gastrointestinal or neurological disorder). This may include children meeting full or partial criteria for Kawasaki disease.
o Exclusionofanyothermicrobialcause,includingbacterialsepsis,staphylococcalor streptococcal shock syndromes, and infections associated with myocarditis such as enterovirus. Clinicians should not delay seeking expert advice while waiting for results of these investigations.
Early recognition by pediatricians and prompt referral to an in-patient specialist, including to critical care is essential.
This syndrome should be considered by pediatricians and specialists, particularly when other microbial etiologies have not been identified.
Pediatricians and specialists should elicit any recent history of illness with COVID-19 or close contact with individuals who are known to have COVID-19 in children presenting with symptoms that are compatible with pediatric multi-system inflammatory syndrome potentially associated with COVID-19.
The majority of patients who have presented with this syndrome have tested positive for SARS- COV-2 or corresponding antibodies. Some tested positive on diagnostic, molecular testing for SARS-COV-2, others were positive on serological testing for corresponding antibodies.
REPORTING AND TESTING
Hospitals must immediately report cases of pediatric multi-system inflammatory syndrome potentially associated with COVID-19 in patients who are under 21 years of age to NYS DOH through the Health Emergency Response Data System (HERDS) application on the health commerce system (HCS)
Hospitals must perform a diagnostic and serological test to detect the presence of SARS-COV- 2, the virus that causes COVID-19, or corresponding antibodies in patients who are under 21 years of age and present with symptoms compatible with pediatric multi-system inflammatory syndrome potentially associated with COVID-19.
For questions about HERDS, providers can send an e-mail to firstname.lastname@example.org.
For other questions, providers can contact their local health department (LHD) at the link below or NYS DOH BCDC at 518-473-4439 during business hours or 1-866-881-2809 during evenings, weekends, and holidays.
Livestreams from the Bronx Zoo and New York Aquarium
COVID-19 Special Needs Resources
Information For Families with A Child with an Intellectual and/or Developmental Disability During the Covid-19 Pandemic
NYS Department of Health (DOH)
Information about NYS on PAUSE
NYS Department of Human Rights (DHR)
Information about how to file a complaint with the Division of Human Rights
U.S. Small Business Administration (SBA)
Information about Small Business Guidance and Loan Resources
Empire State Development (ESD)
How to apply for Small Business Administration Disaster Loans
Information about New Paid Leave for COVID-19
COVID-19 Sick Leave Application
New York State Tax Department
Information about how NYS Tax Department response to COVID-19
Information about how to check the status of a NYS tax refund online
Price Gouging hotline: 800-697-1220
24-Hour Coronavirus hotline: 1-888-364-3065
To donate plasma for coronavirus patients
Individuals who have recovered from the virus may have convalescent plasma in their blood, which has antibodies against the virus and could help with the development of a treatment for the virus. Convalescent Plasma COVID-19 Donor Request Form is available via this link:
New York City resources for those who may be unemployed due to COVID-19 or seek additional assistance.
NYC COVID-19 Citywide Information Portal
SCAMS & PRICE-GOUGING
Notify NYC: Beware of COVID19 scams!
Report price gouging to 311 or NYC.gov/dcwp. You can also file a complaint to the Attorney General's office, fill out a complaint form.
NYS Price Gouging Hotline: 800-697-1220.
CDC staff will NOT go door-to-door. If you experience this, call 911.
NYS Department of Health Hotline for people who want to be assessed and get appointment for test (888-364-3065). NYC residents should call (844-692-4692).
New Yorkers Can Find More Information About the New COVID-19 Paid Sick Leave Law Here
For resources on business grants and loans, visit here.
The U.S. Small Business Administration (SBA) has multiple programs to assist small businesses.
Economic Injury Disaster Loan (EIDL) Emergency Advance
The IRS new online portal that allows you to check the status of your economic impact payment,
New York City Small Business Continuity Fund provides loans of $75,000 for businesses with up to 99 employees.
To file an unemployment insurance claim, you can visit the Department of Labor website or call 1-888-209-8124.
The day you should apply for unemployment insurance is based on the first letter of your last name.
A - F file on Monday
G - N file on Tuesday
O - Z file on Wednesday
Missed your day? File on Thursday, Friday, or Saturday
PSEG Coronavirus page (updated regularly)
Center for Disease Control and Prevention (CDC)